Process Improvement for Interinstitutional Research Contracting.
Process Improvement for Interinstitutional Research Contracting.
复制标题
机构间研究承包的流程改进。
DOI：
10.1111/cts.12280
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发表时间：
2015
期刊：
影响因子：
--
通讯作者：
Boi,Luca
中科院分区：
文献类型：
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作者：
Varner,Michael;Logan,Jennifer;Bjorklund,Todd;Whitfield,Jesse;Reed,Peggy;Lesher,Laurie;Sikalis,Amy;Brown,Brent;Drollinger,Sandy;Larrabee,Kristine;Thompson,Kristie;Clark,Erin;Workman,Michael;Boi,Luca
前言自主性研究越来越需要多机构合作。然而，研究合同程序变得更加复杂和耗时。方法将团队成员反复参与根本原因分析和过程改进的管理实践精益过程应用到研究承包过程中，最初使用过程图，然后开发问题解决报告。结果根本原因分析表明，拖延时间最长的是个人合同法律谈判。此外，“业务实体”是两个医疗保健系统的研究支助人员，其“客户”是试图进行机构间研究的调查人员。发展双方都可接受的研究合同模板和语言、监管链模板以及流程开发和改进格式将授予采购订单的通知时间从实施精益流程前一年的平均103.5天减少到实施后一年的45.8d(p=0.004)。结论精益流程可以应用于机构间研究合同，显著改善合同执行情况。
IntroductionSponsored research increasingly requires multiinstitutional collaboration. However, research contracting procedures have become more complicated and time consuming. The perinatal research units of two colocated healthcare systems sought to improve their research contracting processes.MethodsThe Lean Process, a management practice that iteratively involves team members in root cause analyses and process improvement, was applied to the research contracting process, initially using Process Mapping and then developing Problem Solving Reports.ResultsRoot cause analyses revealed that the longest delays were the individual contract legal negotiations. In addition, the “business entity” was the research support personnel of both healthcare systems whose “customers” were investigators attempting to conduct interinstitutional research. Development of mutually acceptable research contract templates and language, chain of custody templates, and process development and refinement formats decreased the Notice of Grant Award to Purchase Order time from a mean of 103.5 days in the year prior to Lean Process implementation to 45.8 days in the year after implementation (p= 0.004).ConclusionsThe Lean Process can be applied to interinstitutional research contracting with significant improvement in contract implementation.